The intervention most appropriate for the nurse to take when ...

[RRMR]

The intervention most appropriate for the nurse to take when working with a client with obsessive-compulsive disorder is to:
 
  1. Interrupt the ritualistic behavior when observed.
   2. Discuss the need to incorporate the behavior with other hospital routines.
   3. Confront the client and ask what purpose the behavior serves.
   4. Tell the client that the behavior is unacceptable and must end.

Question 2

A 19-year-old pregnant client tells the nurse that she and her husband are going to a fiftieth wedding anniversary party for her grandparents this weekend. The client asks the nurse if it will be okay to have a few glasses of wine at the party.
 
  Which of the following would be the best reply by the nurse? 1. Drinking one glass of wine will not be a problem..
   2. Alcohol during pregnancy can cause the baby to be born without limbs..
   3. Wine is acceptable but not hard liquor..
   4. Drinking any alcoholic beverages during pregnancy puts you and your baby at risk for injury..

[Qarqy]

Answer to Question 1

2. Discuss the need to incorporate the behavior with other hospital routines.

Rationale:
The client with obsessive-compulsive behavior will not be able to perform the behavior at will, so the nurse needs to discuss the need to incorporate the behavior with other hospital routines. The nurse should not interrupt the behavior, since this will cause the client to start over from the beginning. The nurse should also not confront the client and ask what purpose it serves, since the client might be embarrassed about the behavior. Telling the client that the behavior is unacceptable and must end also will not help the client with the behavior.

Answer to Question 2

4. Drinking any alcoholic beverages during pregnancy puts you and your baby at risk for injury..

Rationale:
Drinking any alcohol, no matter what type and what quantity, during pregnancy increases the risk for accidents and damage to the infant. Mothers are encouraged to drink no alcohol at all during pregnancy. Wine can put the mother and fetus at risk as much as hard liquor.

[RRMR]

Gracias!

[nguyenhoanhat]

TYSM